Provider Demographics
NPI:1235454232
Name:SONGER, AMANDA SPENCE (MA, LPC, LCAS-P)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:SPENCE
Last Name:SONGER
Suffix:
Gender:F
Credentials:MA, LPC, LCAS-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:RESCARE HOMECARE 2514 SOUTH CROATAN HWY
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959
Mailing Address - Country:US
Mailing Address - Phone:252-449-4011
Mailing Address - Fax:252-449-4050
Practice Address - Street 1:2514 SOUTH CROATAN HWY
Practice Address - Street 2:RESCARE HOMECARE
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959
Practice Address - Country:US
Practice Address - Phone:252-449-4011
Practice Address - Fax:252-449-4050
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7881101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional